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PLUMBING PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE D ate A ll� � L t 2 °O \ Job Address y50 t' c ki Tax Folio Legal Description Owner/Lessee / Tenant M tAX1 CLAN) V1 o --f rrer's Address `\SO NE 1` S . W∎A c tALk SA.49-49 s / c L 3111 11,4 , 97 LCkk // Ooh / 7///1)6' Address Contracting Co. Qualifier / L ` /47 6;e/9 2I9 - ' Z- State # - ,2 //O 4/f Municipal # Competency # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRIC WORK DESCRIPTION / e / / ( ' , 1 / D / ) ai e i / * � T J A ) K E v 4 - , S \I S re V>n Square Ft. Estimated Cost (value) 1 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction m this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. S ignature of owner and/or Condo President Notary as to My Commis FEES: PERMIT Date *� ROSE MARIA BURKE - MORGAN , MY COMMISSION # CC 880439 PBDttii Uhderwdters gniXigg Date Wry z u., t(x' u I' � 1, qt / 0 i' RADON C.C.F. 1' Historically Designated: Yes No SS# ,, Phone 3 'S - 3V95V Ins. Co. M 5� 6 Address Address Address ECHANICAL ROOFING PAVING FENCE SIGN Notary a o ontractor or My Co ssion Expires: NOTARY Master Permit # gp..3 SAPhone 3 0 S ) S I. 8 �vl v � sf, /0 a) AD /),e, �3 s 4'•- /t-O/ er- iii�4Y FIE; E) V; I: Lit Date COM V! I N NO. CC%14103 My CGM:.0 S1ON F.N MAN.12t11 BONDS oQ 6 0 J APPROVED: Zoning Building Electrical Mechanical Plumbing TOTAL DUE Structural Engineer ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIN)) DISPOSAL SERVICE TEM'CRARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AAPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TCP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTCRS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 C04P. MOTORS OVER 3- 5 FP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEM3LIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEWORARY WATER CLOSET MOTCRS OVER 10- 25 FP FIRE SPRINKLER SYSTEMS URINAL MOTCRS OVER 25-100 FP COOLING TOWERS WATER CLOSET MOTORS OVER 100 NP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL CUTLETS COhf.RCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS . JTILITY -SEWER SIGN TIME CLOCK JTILITY -WATER FIXTURES ;EPTIC TANK {HENNA 'ELAY TELEVISION OUTLETS :RAINFIELD, 4' TILE/RES. VIOLATION 'UI<P & ABANDON SEPTIC TANK REINSPECTION . ;OAKAGE PIT CU. FT. .ATCH BASIN I I SCHARGE WELL Z,,, f / fi / OMESTIC WELL REA DRAIN OOF INLET OLAR WATER HEATER IRE STANDPIPE 001 PIPING AWN SPRINKLER SYSTEM ^ _ AS RANGE :TER SET (GAS) AS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL Permit No 7 e s, v� - Amount of Permit $ �? STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed )_ ( Signed �icdIL Date. -- / - /-- .. ?i ‘9, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. L Owner's Name and Address L �� ��'� � " No. Street Registered Architect and /or Engineer �p Employing Plumber's Name_ )-k - _ b '` e- No. 1 �.^_- /1 1 S k - _._ Location and Legal Description Lot. B1 / Subdivision E L � Street and Number where work is to be performed —No £ L Street_ State work to be performed and purpose of building (By Floors)* New Building.._ -_ — Remodeling__ __ ________ Addition._._____ Repairs No. of Stories... .............. Size Septic Tank_ -- _____ —.__ -- Type of Tank Feet of Drain ............... Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____________ __________________________Size of Soakage Pit Capacity Gals. My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.,7tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen , nt Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el ployed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUB6 SHOWERS - TORIEG SINKS SLOP SINKS L-"TUBS"' URINALS BASIN DRAIN FOUNT' 6 S dtp- X1_11 TOTAL IKTUREB _ CONTR. LIST r 1 O CJ 6a � di / I CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK - -. Permit No 7 e s, v� - Amount of Permit $ �? STATE OF FLORIDA, COUNTY OF DADE. j MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed )_ ( Signed �icdIL Date. -- / - /-- .. ?i ‘9, Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. L Owner's Name and Address L �� ��'� � " No. Street Registered Architect and /or Engineer �p Employing Plumber's Name_ )-k - _ b '` e- No. 1 �.^_- /1 1 S k - _._ Location and Legal Description Lot. B1 / Subdivision E L � Street and Number where work is to be performed —No £ L Street_ State work to be performed and purpose of building (By Floors)* New Building.._ -_ — Remodeling__ __ ________ Addition._._____ Repairs No. of Stories... .............. Size Septic Tank_ -- _____ —.__ -- Type of Tank Feet of Drain ............... Feet of Tank or Drain Field from Well Nature of Water Supply: City — Well.____________ __________________________Size of Soakage Pit Capacity Gals. My Commission Expires Notary Public, State of Florida Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his o.,7tions as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Pen , nt Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors el ployed by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or workmanship.